{"id":4633,"date":"2019-09-22T11:00:21","date_gmt":"2019-09-22T08:00:21","guid":{"rendered":"https:\/\/dentplus.com.tr\/V2\/?p=4633"},"modified":"2019-09-22T11:00:57","modified_gmt":"2019-09-22T08:00:57","slug":"hamilelik-ve-agiz-sagligi","status":"publish","type":"post","link":"https:\/\/dentplus.com.tr\/V2\/hamilelik-ve-agiz-sagligi\/","title":{"rendered":"Hamilelik ve A\u011f\u0131z Sa\u011fl\u0131\u011f\u0131"},"content":{"rendered":"<p>Hamilelik boyunca a\u011f\u0131z sa\u011fl\u0131\u011f\u0131n\u0131n \u00f6nemi \u00e7o\u011fu zaman \u00f6nemsenmemektedir. Ancak son y\u0131llarda yap\u0131lan bilimsel \u00e7al\u0131\u015fmalar di\u015f eti hastal\u0131\u011f\u0131 ve hamilelik aras\u0131nda direkt ili\u015fki oldu\u011funu kan\u0131tlam\u0131\u015f ve di\u015f eti hastal\u0131\u011f\u0131 olan hamileleri erken do\u011fum ,d\u00fc\u015f\u00fck a\u011f\u0131rl\u0131kl\u0131 bebek do\u011fumu ve pre-eklemsi geli\u015fme riskinin fazla oldu\u011funu kan\u0131tlam\u0131\u015ft\u0131r.<\/p>\n<p>Hamilelik boyunca artm\u0131\u015f hormon seviyesi a\u011f\u0131zda bulunan mikrobiyaldental pla\u011fa kar\u015f\u0131 v\u00fccudun reaksiyon seviyesini ve d\u00fczeyini etkilemekte ve di\u015f etleri \u015fi\u015f, kanamal\u0131 bir hal almaktad\u0131r. Hatta bu hal bir s\u00fcre sonra daha ciddi bir rahats\u0131zl\u0131k olan periodontitise d\u00f6n\u00fc\u015fmektedir.<\/p>\n<p>Hamilelik boyunca a\u011f\u0131z sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131 hem hamile ki\u015fi hemde do\u011facak \u00e7ocuk i\u00e7in \u00e7ok \u00f6nemli bir konudur.<\/p>\n<p>Ancak hamilelik s\u0131ras\u0131nda, olu\u015fmu\u015f bir di\u015f eti rahats\u0131zl\u0131\u011f\u0131na maruz kalmamak i\u00e7in hamile kalmadan \u00f6nce mutlaka a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 kontrol\u00fc yap\u0131lmal\u0131d\u0131r.<\/p>\n<p><strong>Hamilelik s\u0131ras\u0131nda ;<\/strong><\/p>\n<p>Yap\u0131lan bilimsel \u00e7al\u0131\u015fmalarda gebeli\u011fin 2. trismester&nbsp; yani 4,5,6. Aylar\u0131nda yap\u0131lan SRP (temizlik ) i\u015flemi g\u00fcvenlidir ancak&nbsp; d\u00fc\u015f\u00fck do\u011fum riskini azaltmaz .<\/p>\n<p>Ancak yine de periodontal&nbsp; tedavi y\u00fcksek risk grubu i\u00e7eren sebep hamilelerin kar\u015f\u0131la\u015facaklar\u0131 riski azaltabilir ve di\u015feti iltihab\u0131n\u0131 engeller ise a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131n\u0131 belli bir d\u00fczeyde tutar.<\/p>\n<p><strong>&nbsp;Unutulmamal\u0131d\u0131r ki ,<\/strong>T\u00fcm di\u015feti ve di\u015flerle ilgili tedaviler gebe kalmadan \u00f6nce yap\u0131lmal\u0131d\u0131r.<\/p>\n<p><strong>Di\u015feti tedavisi hamilelikte g\u00fcvenlimidir?<\/strong><\/p>\n<p>Jinekologlar ,hamileler, di\u015f hekimleri hamilelik s\u0131ras\u0131nda yap\u0131lan di\u015f tedavilerine bebe\u011fin geli\u015fimi a\u00e7\u0131s\u0131ndan \u015f\u00fcpheli yakla\u015fmaktad\u0131rlar bu \u015f\u00fcpheli yakla\u015f\u0131m \u00f6zellikle lokal anestezi kullan\u0131m\u0131, a\u011fr\u0131 kesici ve antibiyotik re\u00e7ete edilmesi gibi konularda daha da fazlala\u015fmaktad\u0131r.<\/p>\n<p>Ancak bu tedaviler 2. Trismester de yap\u0131labilir.<\/p>\n<p><strong>\u00c7ok mecbur kalmad\u0131k\u00e7a antibiyotik ve a\u011fr\u0131 kesici kullan\u0131lmamal\u0131d\u0131r.<\/strong><\/p>\n<p>Aspirin&nbsp;<\/p>\n<p>Naproxen<\/p>\n<p><strong>Ibuprofen&nbsp;&nbsp; kullan\u0131labilir.&nbsp; Kullan\u0131m s\u00fcresi 48-72 saatir&nbsp; 1. Ve 3. Trismester kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131r.<\/strong><\/p>\n<p>Amoxicillin<\/p>\n<p>Cephelosporin<\/p>\n<p>Clindamycine<\/p>\n<p>Metronidazole<\/p>\n<p><strong>Penisilin&nbsp; mecbur kalmad\u0131k\u00e7a kullan\u0131lmamal\u0131d\u0131r.<\/strong><\/p>\n<p>Ciprofloxacin<\/p>\n<p>Clatrithromycin<\/p>\n<p>Levofloxacin<\/p>\n<p><strong>Mox\u0131floxacin&nbsp; kullan\u0131lmamal\u0131d\u0131r.<\/strong><\/p>\n<p><strong>Tetracyciline asla kullan\u0131lmamal\u0131d\u0131r .<\/strong><\/p>\n<p>A\u011f\u0131z gargaras\u0131 olarak,<\/p>\n<p>Alkol i\u00e7ermeyen a\u011f\u0131z gargaras\u0131 kullan\u0131labilir.<\/p>\n<p><strong><a href=\"http:\/\/deniznoyun.com.tr\/V2\/\">Dr. Deniz Noyun<\/a><\/strong><\/p>\n<p><strong>Di\u015f Eti Hastal\u0131klar\u0131 Uzman\u0131<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hamilelik boyunca a\u011f\u0131z sa\u011fl\u0131\u011f\u0131n\u0131n \u00f6nemi \u00e7o\u011fu zaman \u00f6nemsenmemektedir. Ancak son y\u0131llarda yap\u0131lan bilimsel \u00e7al\u0131\u015fmalar di\u015f eti hastal\u0131\u011f\u0131 ve hamilelik aras\u0131nda direkt ili\u015fki oldu\u011funu kan\u0131tlam\u0131\u015f ve di\u015f eti hastal\u0131\u011f\u0131 olan hamileleri erken do\u011fum ,d\u00fc\u015f\u00fck a\u011f\u0131rl\u0131kl\u0131 bebek do\u011fumu ve pre-eklemsi geli\u015fme riskinin fazla oldu\u011funu kan\u0131tlam\u0131\u015ft\u0131r. Hamilelik boyunca artm\u0131\u015f hormon seviyesi a\u011f\u0131zda bulunan mikrobiyaldental pla\u011fa kar\u015f\u0131 v\u00fccudun reaksiyonLeer M\u00e1s<\/p>\n","protected":false},"author":1,"featured_media":4634,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[774],"tags":[776,238,778],"class_list":["post-4633","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hamilelik-ve-agiz-sagligi","tag-gebelikte-dis-bakimi","tag-hamilelik","tag-hamilelikte-agiz-sagligi"],"_links":{"self":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/4633","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/comments?post=4633"}],"version-history":[{"count":2,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/4633\/revisions"}],"predecessor-version":[{"id":4637,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/4633\/revisions\/4637"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media\/4634"}],"wp:attachment":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media?parent=4633"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/categories?post=4633"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/tags?post=4633"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}